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June 23, 1962

Disruption of Abdominal Wounds

Author Affiliations

Chicago; Hines, Ill.

Formerly attending surgeon (Dr. Mann); resident in surgery (Dr. Spinazzola); formerly residents in surgery (Drs. Lindesmith, LeVine, and Kuczerepa), Veterans Administration Hospital, Hines, Ill.; Now clinical assistant professor of surgery, Chicago Medical School (Dr. Mann).

JAMA. 1962;180(12):1021-1023. doi:10.1001/jama.1962.03050250027006

A survey of disruption of abdominal wounds was made at a veterans hospital during the period 1953-1958. Among 8,277 major operations there were 3,988 procedures which might lead to wound separation. Appendectomies performed through a right lower quadrant musclesplitting incision were not included, as disruption with this incision did not occur during this period. Abdominalwound separation occurred in 109 instances. Ninety-three patients were over 50 years of age. The average postoperative day on which disruption occurred was the ninth. Eighty-seven disruptions followed operation for benign disease. Fifty-eight followed upper gastrointestinal tract surgery. The type of closure or suture material appeared not to affect development of disruption. Abnormal distention and coughing were major contributing factors. Twenty-four of 84 known survivors subsequently developed a ventral hernia.